Individual provider Active NPI

Elizabeth Goldschen

  • Speech-Language Pathologist
  • Santa Monica, CA
National Provider Identifier
1528616679
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
27604 Issued in CA
Practice address
3205 Ocean Park Blvd Ste 120
Santa Monica, CA 90405-3233
Phone
(310) 581-6430
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 27604 CA Primary

Addresses

Primary practice location

3205 Ocean Park Blvd Ste 120
Santa Monica, CA 90405-3233

Mailing address

11924 Montana Ave Apt 8
Los Angeles, CA 90049-5015
Phone (818) 730-2929

Other practice location 1

11924 Montana Ave Apt 8
Los Angeles, CA 90049-5015
Phone (818) 730-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27604CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Speech & Language Pathology, Inc Speech-Language Pathologist PastSince Sep 8, 2019 Accepting new patients
Pathways Speech and Language Speech-Language Pathologist PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1528616679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 MONTANA AVE APT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495015",
            "telephone_number": "818-730-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 OCEAN PARK BLVD STE 120",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053233",
            "telephone_number": "310-581-6430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11924 Montana Ave Apt 8",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900495015",
            "country_code": "US",
            "telephone_number": "818-730-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSCHEN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.